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Related Experiment Videos

Local injection treatment for lateral epicondylitis.

T Altay1, I Günal, H Oztürk

  • 1Department of Orthopedics, Dokuz Eylül University Hospitals, Izmir, Turkey.

Clinical Orthopaedics and Related Research
|April 20, 2002
PubMed
Summary

The peppering injection technique for lateral epicondylitis showed excellent results for both lidocaine and lidocaine with triamcinolone groups. This method appears reliable for treating tennis elbow, regardless of corticosteroid use.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Pain Management

Background:

  • Lateral epicondylitis, commonly known as tennis elbow, is a prevalent condition causing elbow pain.
  • Various treatment modalities exist, including injections, but their long-term efficacy can vary.
  • The peppering technique is an injection method involving multiple small injections into the affected area.

Purpose of the Study:

  • To compare the efficacy of lidocaine alone versus lidocaine with triamcinolone using the peppering technique for lateral epicondylitis.
  • To evaluate the long-term outcomes of this injection method in patients with tennis elbow.

Main Methods:

  • A prospective randomized study involving 120 patients diagnosed with lateral epicondylitis.
  • Patients were divided into two groups: Group A (n=60) received 2 mL lidocaine, and Group B (n=60) received 1 mL lidocaine with 1 mL triamcinolone.

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  • Both groups were treated using the peppering injection technique, characterized by 40-50 small injections without needle withdrawal.

    • Main Results:

    • Excellent results were reported in 56 patients in Group A and 57 patients in Group B after a 1-year follow-up.
    • Statistical analysis revealed no significant difference in outcomes between the two treatment groups.
    • The peppering technique demonstrated high success rates in both arms of the study.

    Conclusions:

    • The peppering injection technique appears to be a reliable and effective method for treating lateral epicondylitis.
    • The addition of triamcinolone to lidocaine did not yield statistically superior results compared to lidocaine alone when using this technique.
    • Given the known transient nature of local anesthetic effects, the technique itself is suggested as the key factor in treatment success.